S&C QCOR HHA 2567s
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HHAs 2567s
Selection Criteria ▸

Time Interval

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Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific HHA deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 267585 Aging Well Health Care Llc 7212-7216 Balson Avenue Saint Louis MO 7 (Kansas City) 08/11/2021 DT8411 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0440 Payment from federally funded programs Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0710 Provide services in the plan of care Element
G0716 Preparing clinical notes Element
G0978 Must have a written agreement Element
▼ 267585 Aging Well Health Care Llc 7212-7216 Balson Avenue Saint Louis MO 7 (Kansas City) 08/16/2018 YHRU11 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0406 Patient rights Condition
G0372 Encoding and transmitting OASIS Standard
G0424 Exercise of rights Standard
G0490 Accessibility Standard
G0682 Infection Prevention Standard
G0412 Written notice of patient's rights Element
G0420 [Removed and Reserved] Element
G0422 Written notice within 4 business days Element
G0430 Be free from abuse Element
G0434 Participate in care Element
G0436 Receive all services in plan of care Element
G0440 Payment from federally funded programs Element
G0442 Written notice for non-covered care Element
G0444 State toll free HH telephone hotline Element
G0450 Access to auxiliary aids and language service Element
G0454 HHA can no longer meet the patient's needs Element
G0458 Outcomes/goals have been achieved Element
G0460 Patient refuses services Element
G0462 Before discharge for cause HHA must: Element
G0464 Advise the patient of discharge for cause Element
G0466 Make efforts to resolve the problem(s) Element
G0468 Provide contact info other services Element
G0470 Document efforts to resolve problems Element
G0472 Death of patient Element
G0474 HHA ceases to operate Element
G0478 Investigate complaints made by patient Element
G0482 Mistreatment, neglect or abuse Element
G0484 Document complaint and resolution Element
G0486 Protect patient during investigation Element
G0488 Immediate reporting of abuse by all staff Element
G0536 A review of all current medications Element
G0614 Visit schedule Element
G0618 Treatments and therapy services Element
G0710 Provide services in the plan of care Element
G1022 Discharge and transfer summaries Element
▼ 267585 Aging Well Health Care Llc 7212-7216 Balson Avenue Saint Louis MO 7 (Kansas City) 08/08/2018 I3MX11 Complaint
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0514 RN performs assessment Element
G0520 5 calendar days after start of care Element
G0520 5 calendar days after start of care Element
G0546 Last 5 days of every 60 days unless: Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0590 Promptly alert relevant physician of changes Element
G0590 Promptly alert relevant physician of changes Element
G0804 Aides are members of interdisciplinary team Element
G0808 Onsite supervisory visit every 14 days Element
▼ 267590 Interstaff, Inc 1173 N Price Saint Louis MO 7 (Kansas City) 08/23/2023 60DBF-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G1024 Authentication Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0576 All orders recorded in plan of care Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
▼ 267590 Interstaff, Inc 1173 N Price Saint Louis MO 7 (Kansas City) 01/13/2021 KIB711 Focused Infection Control, Other-Fed, Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0614 Visit schedule Element
G0800 Services provided by HH aide Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267594 Patient Care Professionals Inc 301 Sovereign Ct, Suite 102 Ballwin MO 7 (Kansas City) 01/29/2026 1E2A5F-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0702 Services by skilled professionals Standard
G0514 RN performs assessment Element
G0726 Nursing services supervised by RN Element
▼ 267594 Patient Care Professionals Inc 301 Sovereign Ct, Suite 102 Ballwin MO 7 (Kansas City) 02/01/2023 5EE6E-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G0686 Infection control education Standard
G1024 Authentication Standard
G0414 HHA administrator contact information Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0580 Only as ordered by a physician Element
G0706 Interdisciplinary assessment of the patient Element
G0722 Participate in HHA-sponsored in-service Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267594 Patient Care Professionals Inc 301 Sovereign Ct, Suite 102 Ballwin MO 7 (Kansas City) 02/05/2020 KFN911 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
E0031 Emergency Officials Contact Information Standard
E0033 Methods for Sharing Information Standard
E0037 EP Training Program Standard
E0039 EP Testing Requirements Standard
G0642 Program scope Standard
G0644 Program data Standard
G0654 Track adverse patient events Standard
G0658 Performance improvement projects Standard
G0660 Executive responsibilities for QAPI Standard
G0682 Infection Prevention Standard
G0422 Written notice within 4 business days Element
G0434 Participate in care Element
G0440 Payment from federally funded programs Element
G0446 Contact info Federal/State-funded entities Element
G0464 Advise the patient of discharge for cause Element
G0466 Make efforts to resolve the problem(s) Element
G0468 Provide contact info other services Element
G0470 Document efforts to resolve problems Element
G0472 Death of patient Element
G0514 RN performs assessment Element
G0528 Health, psychosocial, functional, cognition Element
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0710 Provide services in the plan of care Element
G0718 Communication with physicians Element
G0984 In accordance with current clinical practice Element
G1022 Discharge and transfer summaries Element
▼ 267597 Phoenix Home Care, Inc. 500 Broadway Street Jefferson City MO 7 (Kansas City) 12/03/2025 1DC9DC-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
E0037 EP Training Program Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0536 A review of all current medications Element
G0574 Plan of care must include the following Element
G0616 Patient medication schedule/instructions Element
G0622 Name/contact information of clinical manager Element
G0722 Participate in HHA-sponsored in-service Element
G0984 In accordance with current clinical practice Element
▼ 267597 Phoenix Home Care, Inc. 500 Broadway Street Jefferson City MO 7 (Kansas City) 12/07/2022 5E766-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0490 Accessibility Standard
G1024 Authentication Standard
G0414 HHA administrator contact information Element
G0444 State toll free HH telephone hotline Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0614 Visit schedule Element
G0616 Patient medication schedule/instructions Element
G0618 Treatments and therapy services Element
G0622 Name/contact information of clinical manager Element